A 20-year-old man is brought to the emergency department by the police after being picked up in the streets for acting violently towards others. He was found in an agitated state, acting belligerently. On physical examination his temperature is 38.5°C (101.3°), heart rate is 115/min, blood pressure is 140/95 mm Hg, and he has vertical and horizontal nystagmus. Which of the following treatments should this patient receive?
一名20岁的男子在街上对他人采取暴力行为后被警察带到急诊室。人们发现他处于激动不安的状态，表现得很好斗。体格检查时，他的体温为38.5℃(101.3°)，心率为115/min，血压为140/95 mmhg，并有垂直和水平眼震。该患者应接受下列哪种治疗?
(A) Benzodiazepines 苯二氮卓类
(B) Flumazenil 氟马西尼
(C) N-acetylcysteine n -乙酰半胱氨酸
(D) Naloxone 纳洛酮
(E) Sodium bicarbonate 碳酸氢钠
答案解析：
该患者表现为苯环利定(PCP)中毒。患者常表现为攻击行为、好战性、精神病性、暴力、冲动、精神运动性激越、发热、心动过速、垂直和水平眼震、高血压、判断障碍、共济失调、癫痫发作和谵妄。使用PCP最危险的方面是它导致的鲁莽行为。对严重症状的治疗通常采用苯二氮卓类药物或氟哌啶醇。安抚病人也很重要。
正确答案：A
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